|
5341 |
1260123230007 |
2026-01-23 00:00:00.000000 |
7.000000000000 |
1165 |
1260123230007 |
F000003 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
3000.000000000000 |
0.000000000000 |
0.000000000000 |
3000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123230007 |
|
1260123230007 |
|
|
1900-01-01 00:00:00.000000 |
3000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001132 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5342 |
1260123000001 |
2026-02-12 00:00:00.000000 |
4.000000000000 |
1980 |
1260123000001 |
T000009 |
|
Pengambilan Sampel Darah |
IDR |
|
0.000000000000 |
1.000000000000 |
35000.000000000000 |
0.000000000000 |
0.000000000000 |
35000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260123000001 |
|
1260123000001 |
|
|
1900-01-01 00:00:00.000000 |
35000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001900 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5343 |
1251218000032 |
2025-12-18 00:00:00.000000 |
3.000000000000 |
112 |
1251218000032 |
D000010 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
70000.000000000000 |
0.000000000000 |
0.000000000000 |
70000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1251218000032 |
|
1251218000032 |
|
|
1900-01-01 00:00:00.000000 |
70000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000109 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5344 |
12512190050517 |
2025-12-19 13:01:22.000000 |
2.000000000000 |
377 |
12512190050517 |
D000002 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
75000.000000000000 |
0.000000000000 |
0.000000000000 |
75000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
12512190050517 |
|
12512190050517 |
|
|
1900-01-01 00:00:00.000000 |
75000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000365 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5345 |
1260111000012 |
2026-01-11 14:38:41.000000 |
3.000000000000 |
646 |
1260111000012 |
A000001 |
|
Biaya Kartu Pasien |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260111000012 |
|
1260111000012 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000621 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5346 |
1260115000008 |
2026-01-15 00:00:00.000000 |
7.000000000000 |
907 |
1260115000008 |
F000001 |
|
|
IDR |
|
0.000000000000 |
11.000000000000 |
1500.000000000000 |
0.000000000000 |
0.000000000000 |
16500.000000000000 |
|
|
|
11.000000000000 |
0 |
|
1260115000008 |
|
1260115000008 |
|
|
1900-01-01 00:00:00.000000 |
16500.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000877 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5347 |
1251218000033 |
2025-12-18 09:17:05.000000 |
1.000000000000 |
113 |
1251218000033 |
D000004 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
100000.000000000000 |
0.000000000000 |
0.000000000000 |
100000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1251218000033 |
|
1251218000033 |
|
|
1900-01-01 00:00:00.000000 |
100000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000110 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5348 |
1260111000013 |
2026-01-11 14:39:53.000000 |
1.000000000000 |
647 |
1260111000013 |
D000001 |
|
Biaya dr. Umum (50.000) |
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
1260111000013 |
|
1260111000013 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000622 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5349 |
1260115000008 |
2026-01-15 00:00:00.000000 |
8.000000000000 |
908 |
1260115000008 |
F000002 |
|
|
IDR |
|
0.000000000000 |
11.000000000000 |
2500.000000000000 |
0.000000000000 |
0.000000000000 |
27500.000000000000 |
|
|
|
11.000000000000 |
0 |
|
1260115000008 |
|
1260115000008 |
|
|
1900-01-01 00:00:00.000000 |
27500.000000000000 |
0.000000000000 |
rsvd |
1 |
5639000878 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |
|
5350 |
12601240016 |
2026-01-24 09:34:30.000000 |
1.000000000000 |
1679 |
12601240016 |
A000001 |
|
|
IDR |
|
0.000000000000 |
1.000000000000 |
50000.000000000000 |
0.000000000000 |
0.000000000000 |
50000.000000000000 |
|
|
|
1.000000000000 |
0 |
|
12601240016 |
|
12601240016 |
|
|
1900-01-01 00:00:00.000000 |
50000.000000000000 |
0.000000000000 |
rsvd |
1 |
5639001646 |
2026-03-17 05:03:27.000000 |
? |
2026-03-17 05:03:27.000000 |
? |
0 |
1900-01-01 00:00:00.000000 |